Karolyn S Jackson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8198 Issued in AZ

Practice address

743 Miller Valley Rd
Prescott, AZ 86301-1813

Phone

(928) 777-9600

Fax

(855) 449-5560

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Karolyn S Noonan Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group
• Accredited Family Healthcare, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Gilbert, AZ
  • NPI 1629182746
  NPD (past)
• Northern Arizona Medical Group, PLLC

  • Specialist
  • Kingman, AZ
  • NPI 1770743965
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1427664192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-777-9600",
            "fax_number": "855-449-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-777-9600",
            "fax_number": "855-449-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 N Camino Mercado Ste 7",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225759",
            "country_code": "US",
            "telephone_number": "520-836-5538",
            "fax_number": "844-722-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4135 S Power Rd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852123627",
            "country_code": "US",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16928 W Bell Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748948",
            "country_code": "US",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2171 W Orange Grove Rd",
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            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-297-3907",
            "fax_number": "520-989-3486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 S Lenzner Ave",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856355685",
            "country_code": "US",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3251 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141222",
            "country_code": "US",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26224 N Tatum Blvd Ste 15A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507500",
            "country_code": "US",
            "telephone_number": "480-663-9632",
            "fax_number": "623-748-1914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 E Wilcox Dr",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352778",
            "country_code": "US",
            "telephone_number": "520-459-0362",
            "fax_number": "520-458-1585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Willard St",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863266743",
            "country_code": "US",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4365 E Pecos Rd Ste 134",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958053",
            "country_code": "US",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21321 E Ocotillo Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425996",
            "country_code": "US",
            "telephone_number": "480-987-5525",
            "fax_number": "480-987-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18275 N 59th Ave Ste 138",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081253",
            "country_code": "US",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7725 N 43rd Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850515771",
            "country_code": "US",
            "telephone_number": "623-207-5465",
            "fax_number": "623-207-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12361 W Bola Dr",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789021",
            "country_code": "US",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3552 W Baseline Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853393042",
            "country_code": "US",
            "telephone_number": "602-635-6951",
            "fax_number": "602-635-6952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9171 W Thunderbird Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814872",
            "country_code": "US",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-8713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855012503",
            "country_code": "US",
            "telephone_number": "928-425-8200",
            "fax_number": "928-425-8406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855463301",
            "country_code": "US",
            "telephone_number": "928-428-3122",
            "fax_number": "928-428-7917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Canyon Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428492",
            "country_code": "US",
            "telephone_number": "928-704-4499",
            "fax_number": "928-704-4949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Mesquite Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035894",
            "country_code": "US",
            "telephone_number": "928-208-4598",
            "fax_number": "888-571-6436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12075 E AZ 69",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "86327",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N Stockton Hill Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864014140",
            "country_code": "US",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864092426",
            "country_code": "US",
            "telephone_number": "928-385-7100",
            "fax_number": "855-538-3114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Lake Havasu Ave S",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864039309",
            "country_code": "US",
            "telephone_number": "928-453-1970",
            "fax_number": "855-538-3082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 AZ-95",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "86442",
            "country_code": "US",
            "telephone_number": "928-763-2001",
            "fax_number": "928-763-2038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5902 E Pima St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124322",
            "country_code": "US",
            "telephone_number": "520-886-5315",
            "fax_number": "877-209-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 W Elliot Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335301",
            "country_code": "US",
            "telephone_number": "480-963-6144",
            "fax_number": "480-899-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3336 E Chandler Heights Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852984264",
            "country_code": "US",
            "telephone_number": "480-988-4645",
            "fax_number": "480-988-4745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KAROLYN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLYN",
            "last_name": "NOONAN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Ivey, PHARMD
• J L & C Enterprises Inc
• J Todd Cox PLLC
• J. Brett Mangum DDS PC
• J&G Medical Services PLLC
• Rose M Jackson, RRT
• Lourdes R Jacobo, M.D.
• Autum Renee Jacobs, FNP-BC
• Nicole Jacobs, FNP
• Jeffrey Jacques, D.O.

• Physician Assistant in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.